XX9-24898-71063

2 vaccinations 15 coded responses 23 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 381 / TN
Registered: 2021-03-31

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Chest pain, Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Hyperhidrosis, Vision blurred — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — 7 day, dose 1
MedDRA: Affective disorder, Feeling abnormal, Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-13
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — 0 day, dose 2
Feeling: Good · Chills, Headache

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Musculoskeletal chest pain, Neck pain, Spinal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Cough, Decreased appetite, Vision blurred — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-23
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Decreased appetite, Rash, Vision blurred — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — 7 day, dose 2
MedDRA: Chest pain, Cough, Neck pain, Pain in extremity — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-04
Survey response — 14 day, dose 2
MedDRA: Arthralgia, Chest pain, Chills, Cough, Dyspnoea, Hyperhidrosis, Hypoaesthesia, Loss of personal independence in daily activities, Myalgia, Neck pain, Spinal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-11
Survey response — 21 day, dose 2
MedDRA: Chest pain, Cough, Fatigue, Headache, Injection site rash, Menstruation irregular, Myalgia, Neck pain, Pain in extremity, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-20
Survey response — 28 day, dose 2
MedDRA: Arthralgia, Carpal tunnel syndrome, Fatigue, Injection site rash, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-25
Survey response — 35 day, dose 2
MedDRA: Abdominal pain, Arthralgia, Chest pain, Cough, Headache, Insomnia, Myalgia, Pain, Pyrexia, Rash, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-01
Survey response — 42 day, dose 2
MedDRA: Arthralgia, Asthenia, Back pain, Fatigue, Headache, Hypoaesthesia, Menstruation irregular, Vascular pain, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-20
Survey response — 3 month, dose 2
MedDRA: Arthralgia, Chest pain, Headache, Myalgia, Nerve injury, Postmenopause, Sleep disorder, Visual impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-19
Survey response — 6 month, dose 2
MedDRA: Arthralgia, Chills, Dyspnoea, Headache, Musculoskeletal stiffness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-23
Call successful
Participant prefers to complete VAERS report online
2022-04-20
Survey response — 12 month, dose 2
MedDRA: Arthralgia, Dyspnoea, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-23	Successful 2021-12-23	Participant prefers to complete VAERS report online

Free text

Release 6

Systemic reaction (other): Chest pain...cough.....pressure on chest

Systemic reaction (other): Blurred vision...sweating.....loss of appetite

Release 7

Systemic reaction (other): Moody...foggy....sweats

Systemic reaction (other): Pain in the back of my neck and my spine.....a cough....heavy chest....ribs sore

Systemic reaction (other): Loss of appetite, blurred vision, cough, chest pain

Systemic reaction (other): Cough, no appetite, blurred vision, rash on bottom of feet

Release 8

Systemic reaction (other): Coughing...chest pain....pain in inner thigh and neck

Symptoms: Shortness of breatheCoughMuscle aches Joints hurts My spine hurts I can no longer wring out my mops or clothes or towels...I have sweats and chills all the time....and my chest hurts....I have numb to sharp pain in my neck and inner thighs

Symptoms: Cough, chest pain, rash at injection site, headaches, tiredness, muscle aches, irregular menstrual cycle, pain in neck and inner thigh/leg, blurred vision

Symptoms: Rash at siteMuscle achesJoint painTiredness Carpal tunnel

Symptoms: Muscle aches....joint pain....spine pain/soreness....rash on injection arm...irritable....trouble sleeping....chest pain...cough.....blurred vision

Symptoms: I have menstruated for the first time in over a year and a half....severe weakness tiredness...joint pain....back pain hip pain veins in my legs.... numbness in my fingers and toes....head aches....blurred vision

Release 9

Symptoms: Nerve damage.joint and muscle pain continuously..vision and sleep problemsheadaches.I came on my cycle after not having one for two years.chest pain

Release 10

Symptoms: Chills, frequent headaches, shortness of breath, stiffness sore joints

Release 11

Symptoms: Shortness of breathextreme joint and muscle painheadaches.my menstrual cycle started back

Free-text releases are not linked to a specific survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Carpal tunnel syndrome	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Nerve injury	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Postmenopause	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Spinal pain	✓	✓	✓
SD	Vascular pain	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Visual impairment	·	·	✓
SRO	Affective disorder	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release